Ultra-Proximal Jejunostomy Application after McKeown-Type Esophagectomy: A Retrospective Case-Series Study.

IF 2 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY Gastroenterology Research and Practice Pub Date : 2023-01-01 DOI:10.1155/2023/5874332
Dongliang Lin, Zhendong Xu, Jinlong Huang, Wenshan Hong, Weiqing Zhang, Luoyu Lian
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Abstract

Background: Jejunostomy is the main form of enteral nutritional support after McKeown-type esophagectomy. However, this requires the jejunum to be secured to the abdominal wall, which can lead to catheter-related complications. Here, we present a new type of jejunostomy, ultra-proximal jejunostomy, which does not require fixation of the jejunum to the abdominal wall.

Methods: Patients who underwent McKeown-type esophagectomy between January 2021 and March 2022 were included in this study. Postoperative outcomes of patients who underwent ultra-proximal jejunostomy are also presented.

Results: Forty-three patients were able to receive enteral nutritional support via an ultra-proximal jejunostomy after McKeown-type esophagectomy, and no cases of enteral fistulas were observed. The pain in the left lower abdomen largely disappeared after the removal of the jejunostomy tube in all patients, and there was no difficulty in removing the tube. To date, none of these patients have experienced bowel obstruction or jejunal torsion.

Conclusion: An ultra-proximal jejunostomy is a safe and feasible method and a better option for enteral nutrition support after McKeown-type esophagectomy.

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mckeown型食管切除术后超近端空肠造口术的应用:回顾性病例系列研究。
背景:空肠造口术是mckeown型食管切除术后肠内营养支持的主要形式。然而,这需要将空肠固定在腹壁上,这可能导致导管相关并发症。在这里,我们提出一种新型的空肠吻合术,超近端空肠吻合术,它不需要将空肠固定在腹壁上。方法:在2021年1月至2022年3月期间接受mckeown型食管切除术的患者纳入本研究。术后结果的病人谁接受超近端空肠造口也提出。结果:43例患者在mckeown型食管切除术后可通过超近端空肠造口获得肠内营养支持,无肠内瘘发生。所有患者切除空肠造口管后,左下腹疼痛基本消失,拔管无困难。迄今为止,这些患者均未发生肠梗阻或空肠扭转。结论:超近端空肠造口是mckeown型食管切除术后肠内营养支持的一种较好的选择,安全可行。
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来源期刊
Gastroenterology Research and Practice
Gastroenterology Research and Practice GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
0.00%
发文量
91
审稿时长
1 months
期刊介绍: Gastroenterology Research and Practice is a peer-reviewed, Open Access journal which publishes original research articles, review articles and clinical studies based on all areas of gastroenterology, hepatology, pancreas and biliary, and related cancers. The journal welcomes submissions on the physiology, pathophysiology, etiology, diagnosis and therapy of gastrointestinal diseases. The aim of the journal is to provide cutting edge research related to the field of gastroenterology, as well as digestive diseases and disorders. Topics of interest include: Management of pancreatic diseases Third space endoscopy Endoscopic resection Therapeutic endoscopy Therapeutic endosonography.
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